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Feasibility and acceptability of human papillomavirus self-sampling in a semi-urban area in northern Tanzania

Mahande, Michael J. ; Oneko, Olola ; Amour, Caroline ; Pollie, Meridith ; Smith, Cheyenne ; Mboya, Innocent B. LU orcid and Finkel, Madelon (2021) In International Journal of Gynecology and Obstetrics 154(1). p.113-118
Abstract

Objective: To assess the feasibility and acceptability of HPV self-sampling in Arusha region, northern Tanzania, because the ability for women to self-collect HPV samples can help reduce the number of health facility visits and improve cervical cancer screening coverage rates. Methods: We conducted a facility- and community-based cross-sectional study among 350 women aged 25–55 years in Arumeru district, Arusha region, northern Tanzania. Women were trained to self-collect an HPV sample, and follow-up visits were used to provide results after laboratory testing. Data were analyzed using Stata version 15.1 and summarized using mean and standard deviation for numeric variables and frequencies and percentages for categorical variables.... (More)

Objective: To assess the feasibility and acceptability of HPV self-sampling in Arusha region, northern Tanzania, because the ability for women to self-collect HPV samples can help reduce the number of health facility visits and improve cervical cancer screening coverage rates. Methods: We conducted a facility- and community-based cross-sectional study among 350 women aged 25–55 years in Arumeru district, Arusha region, northern Tanzania. Women were trained to self-collect an HPV sample, and follow-up visits were used to provide results after laboratory testing. Data were analyzed using Stata version 15.1 and summarized using mean and standard deviation for numeric variables and frequencies and percentages for categorical variables. Results: Among 350 women, 65 (18.6%) ever screened for cervical cancer, all provided self-collected samples, and 349 (99.4%) would advise their female friends to undergo the same procedure. The prevalence of positive HPV results was 31 (8.9%), of which 26 (83.9%) were further examined. Two women found with lesions were treated following the national guidelines. Conclusion: This study has demonstrated that the HPV self-sampling intervention for cervical cancer screening is a feasible and acceptable intervention, especially in resource-limited countries like Tanzania. Scaling-up policies should consider addressing the potential barriers to the uptake of this intervention.

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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
cervical cancer screening, HPV self-sampling, HPV testing, Tanzania
in
International Journal of Gynecology and Obstetrics
volume
154
issue
1
pages
113 - 118
publisher
Wiley-Blackwell
external identifiers
  • pmid:33404089
  • scopus:85100547503
ISSN
0020-7292
DOI
10.1002/ijgo.13579
language
English
LU publication?
no
additional info
Publisher Copyright: © 2021 International Federation of Gynecology and Obstetrics
id
76090a5e-6d82-4c2e-8c3b-f47202b7c206
date added to LUP
2022-09-29 10:05:35
date last changed
2024-09-20 04:55:49
@article{76090a5e-6d82-4c2e-8c3b-f47202b7c206,
  abstract     = {{<p>Objective: To assess the feasibility and acceptability of HPV self-sampling in Arusha region, northern Tanzania, because the ability for women to self-collect HPV samples can help reduce the number of health facility visits and improve cervical cancer screening coverage rates. Methods: We conducted a facility- and community-based cross-sectional study among 350 women aged 25–55 years in Arumeru district, Arusha region, northern Tanzania. Women were trained to self-collect an HPV sample, and follow-up visits were used to provide results after laboratory testing. Data were analyzed using Stata version 15.1 and summarized using mean and standard deviation for numeric variables and frequencies and percentages for categorical variables. Results: Among 350 women, 65 (18.6%) ever screened for cervical cancer, all provided self-collected samples, and 349 (99.4%) would advise their female friends to undergo the same procedure. The prevalence of positive HPV results was 31 (8.9%), of which 26 (83.9%) were further examined. Two women found with lesions were treated following the national guidelines. Conclusion: This study has demonstrated that the HPV self-sampling intervention for cervical cancer screening is a feasible and acceptable intervention, especially in resource-limited countries like Tanzania. Scaling-up policies should consider addressing the potential barriers to the uptake of this intervention.</p>}},
  author       = {{Mahande, Michael J. and Oneko, Olola and Amour, Caroline and Pollie, Meridith and Smith, Cheyenne and Mboya, Innocent B. and Finkel, Madelon}},
  issn         = {{0020-7292}},
  keywords     = {{cervical cancer screening; HPV self-sampling; HPV testing; Tanzania}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{113--118}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{International Journal of Gynecology and Obstetrics}},
  title        = {{Feasibility and acceptability of human papillomavirus self-sampling in a semi-urban area in northern Tanzania}},
  url          = {{http://dx.doi.org/10.1002/ijgo.13579}},
  doi          = {{10.1002/ijgo.13579}},
  volume       = {{154}},
  year         = {{2021}},
}